Central nervous system-associated macrophages modulate the immune response following stroke in aged mice

Damien Levard1, Célia Seillier1, Mathys Bellemain-Sagnard1

  • 1Normandie University, UNICAEN, Université Caen Normandie, INSERM UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), GIP Cyceron, Institut Blood and Brain @ Caen-Normandie (BB@C), Caen, France.

Nature Neuroscience
|July 3, 2024
PubMed

Insights

Aging alters central nervous system-associated macrophages (CAMs), crucial immune cells in the brain. These aged CAMs orchestrate immune cell movement after stroke, impacting neurological function and leukocyte infiltration.

Area of Science:

  • Neuroscience
  • Immunology
  • Gerontology

Background:

  • Age is a significant nonmodifiable risk factor for ischemic stroke.
  • Central nervous system-associated macrophages (CAMs) are resident brain immune cells residing along the vasculature.
  • Understanding age-related changes in neuroimmune responses post-stroke is critical.

Purpose of the Study:

  • To investigate the role of aging in CAMs' function after ischemic stroke.
  • To elucidate how CAMs modulate immune cell trafficking in aged versus young individuals post-stroke.
  • To identify key molecular mechanisms, like Major Histocompatibility Complex class II (MHC-II), involved in aged CAMs' immune regulation.

Main Methods:

  • Utilized a clinically relevant thromboembolic stroke model in young and aged male mice.
  • Analyzed corresponding human brain tissue samples.
  • Examined the impact of CAM absence on leukocyte infiltration and neurological deficits.
  • Assessed the expression of Major Histocompatibility Complex class II (MHC-II) on CAMs.

Main Results:

  • Aging significantly alters CAMs' role in orchestrating immune cell trafficking post-stroke.
  • Absence of CAMs led to increased leukocyte infiltration and neurological dysfunction specifically in aged mice.
  • Overexpression of MHC-II by aged CAMs plays a crucial role in modulating the neuroimmune response to stroke.
  • CAMs coordinate long-term immune responses following stroke, particularly in aged individuals.

Conclusions:

  • Aged CAMs are central coordinators of the neuroimmune response after ischemic stroke.
  • CAMs' modulation of endothelial adhesion molecules is key to regulating immune cell entry into the brain post-stroke.
  • Targeting aged CAMs and their associated pathways, like MHC-II, may offer therapeutic strategies for stroke in the elderly.

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